Finance à United States

The core purpose of the role is to drive business growth and client satisfaction.

POSITION INFO :

Job Title : Senior Actuarial Analyst

Location :

Job Type : Permanent, Full-Time

Primary Industry :

Health, Medical and related

Secondary Industry : Insurance

Job Duties :

• Carry out member and supplier data analyses and forecasting
• Improve the data warehouse reports in conjunction with the BI department
• Collect data from relevant sources and perform actuarial analyses modelling and reporting as required
• Assist in maintaining and developing processes to monitor current projections and experience
• Review demographics and financial claims data on a monthly basis
• Monitor, analyse, and interpret compliance with benefit utilisation regarding specific subsets
• Analyse hospital data on utilisation and alternative reimbursement model performance
• Ensure the compilation of all annexures for the Council for Medical Schemes relating to members
• Compile annual utilisation return for submission to the CMS
• Compile all utilisation reports to comply with regulatory requirements
• Communicate actuarial modelling analysis and investigations to relevant stakeholders clearly
• Ensure adherence to Legislative and regulatory prescripts, Enterprise risk management frameworks, Medihelp policies guidelines and directives

Required Qualifications :

A relevant BSc degree in Actuarial Science studying toward becoming a healthcare actuary

Knowledge and Skills :

• Strong analytical and mathematical skills
• Excellent communication and presentation abilities
• Proficiency in data analysis and reporting
• Knowledge of actuarial modelling and forecasting techniques
• Understanding of healthcare and insurance industries
• Three years relevant experience in managed care, health risk management, service / product pricing, or scheme benefit design / healthcare product benefit design, including three years of experience in pricing and designing value-added products within the medical scheme environment, along with MS SQL programming skills

Preferred Qualifications :

Progress towards actuarial certification

Working Conditions :

This role is office-based with occasional travel required for meetings or training.